Perineal Correction
Advanced care for perineal corrections
Conditions Treated
Gynecological Conditions
- Ovarian cysts
- Tubal ligation
- Adhesion removal
- Incision of Bartholin's gland abscess / vaginal cyst
- Pelvic organ prolapse
- Chromoperturbation
- Bartholin's gland cystectomy / vaginal cystectomy
- Curettage biopsy
Oncological Diseases
- Cancer staging
- Omentectomy
- Pelvic and periaortic lymphadenectomy
- Ovarian transposition before irradiation
Perineal corrections are complex surgical procedures that aim to restore the anatomy, functionality, and aesthetics of the perineal area. These procedures are frequently indicated following obstetric trauma, pelvic prolapse, congenital malformations, or in the context of oncological surgery.
The goal of these corrections is to restore urinary and fecal continence, pelvic support, and functional and psychological comfort to the patient.
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What is the perineum and why is it so important?
The perineum is an anatomical area located between the vagina (or scrotum) and the anus, consisting of a complex of muscles, ligaments, and connective tissues. This region forms the pelvic floor and plays an essential role in:
- Maintaining urinary and fecal continence;
- Supporting the pelvic organs (bladder, uterus, rectum);
- Sexual function;
- Childbirth;
- The integrity of the perineum is crucial for physical and psychological health, and damage to it can lead to incontinence, prolapse, pain, or sexual dysfunction.
In what situations are perineal corrections necessary?
There are several medical indications for surgical correction of the perineum, the most common of which are:
- Grade III–IV perineal tear: This injury occurs during childbirth and affects the anal sphincter muscles and rectal mucosa. If not treated properly, it can lead to fecal incontinence and chronic pain.
- Poorly healed episiotomies: An episiotomy that heals incorrectly can cause asymmetry, painful scarring, and sexual discomfort. Correction involves excising the fibrous tissue and restoring the anatomical planes.
- Perineal prolapse, rectocele, or enterocele: These forms of pelvic organ descent require restoration of fascial and muscular support, often through posterior vaginal wall plasty.
- Congenital malformations: Anal atresia, persistent cloaca, and other anomalies require complex perineal reconstructions, usually performed in pediatric surgery.
- Oncological surgery: After excision of pelvic or perineal tumors, reconstruction of the region with muscle flaps or grafts is necessary to restore functional and aesthetic integrity.
What types of procedures are used to correct the perineum?
The type of intervention depends on the severity of the injury, the affected structures, and the desired outcome (functional, aesthetic, or both). Among the most commonly used techniques are:
- Anatomical plane suturing: for minor injuries or superficial tears;
- Repair of the external anal sphincter: using muscle reinsertion techniques;
- Muscle flaps: using flaps from the gracilis or gluteal muscles, used especially in complex reconstructions;
- Use of synthetic meshes: in cases of marked weakness of the pelvic floor, especially in large prolapses;
- Reconstructions with skin or muscle grafts: in the context of oncological excisions or in cases of extensive tissue loss.
How does recovery proceed after a perineal repair?
Recovery depends on the extent of the intervention, but generally follows a few principles:
- Physical rest: avoiding strenuous activity, prolonged standing, and activities that increase intra-abdominal pressure;
- Local hygiene: gentle cleaning and proper drying of the perineal region to prevent infections;
- High-fiber diet: prevention of constipation and straining during bowel movements;
- Perineal physiotherapy: exercises to strengthen the pelvic floor and re-educate the sphincters, especially after severe tears;
- Psychological support: especially in cases where sexual life is affected or there is a history of trauma.
The average recovery time ranges from 2–6 weeks for simple cases to several months for complex procedures.
Why are these interventions important for quality of life?
Perineal corrections are not only aesthetic procedures, but also contribute significantly to:
- Regaining control over sphincter functions;
- Restoring normal sexual life;
- Eliminating persistent pain or discomfort;
- Restoring a positive body image and self-esteem;
- Physical and psychological recovery after childbirth, surgery, or trauma.
They make a major contribution to the social and professional reintegration of affected patients, especially in the postpartum or post-cancer period.
What risks or complications may occur?
Like any surgical procedure, perineal corrections can have risks and complications:
- Local infections;
- Surgical wound dehiscence;
- Persistent perineal pain;
- Sexual dysfunction;
- Recurrence of prolapse or incontinence in severe cases or if postoperative recommendations are not followed.
Another important aspect is unrealistic expectations on the part of the patient, which is why proper preoperative communication is essential.
Why choose VenArt Clinic?
Trusted expertise, advanced technology, and care that puts you first — learn more about what sets our gynecology medical services apart:
- Experienced medical team: Specialists with years of practice in gynecology, with proven results and numerous positive testimonials.
- Modern technology: We use minimally invasive methods, such as laparoscopic surgery, for quick recovery and reduced discomfort.
- Personalized approach: Each patient is unique, and the treatment plan is tailored to their needs for a safe and effective medical experience.
- Comprehensive post-operative care: We provide guidance throughout recovery, careful monitoring, and answer any questions to ensure a complication-free healing process.
Medical Team
Frequently Asked Questions
What are perineal corrections?
Perineal corrections are surgical procedures that repair the anatomical structures of the perineum affected by trauma, malformations, difficult births, or oncological interventions. The goal is to restore the functionality (e.g., continence) and aesthetics of the region.
When is a perineal repair recommended?
The procedure is recommended in cases of:
- Severe postpartum perineal tears (grade III–IV);
- Poorly healed episiotomies;
- Perineal prolapse (rectocele, enterocele);
- Congenital malformations;
- Tissue loss following cancer surgery.
Is it a painful procedure?
Discomfort is manageable with local, spinal, or general anesthesia, depending on the extent of the procedure. Postoperatively, pain is controlled with standard analgesic medication.
Can the correction be done long after birth?
Yes. Corrections can be made even years later if symptoms (pain, discomfort, incontinence) persist. The intervention does not need to be immediate, but the earlier it is performed, the more effective the recovery can be.
